Table 3. Analysis of combined spectrum and inoculum size effect on sensitivity of rapid antigen detection test (RADT).
Univariate analysisa | Multivariate analysisa | ||||||||||
Variable | All inocula | p | Light inoculum | p | Heavy inoculum | p | p b | Light inoculumc | p | Heavy inoculumd | p |
(n = 285) | (n = 42) | (n = 243) | (n = 42) | (n = 243) | |||||||
Age (years) | |||||||||||
3–8 | ref | 0.01 | ref | <0.01 | ref | 0.49 | 0.03 | ref | <0.001 | ref | 0.36 |
9–14 | −22.4 (−39.7; −5.1) | −37.4 (−64.1; −10.7) | −4.6 (−17.4; 8.3) | −40.9 (−57.9; −24.0) | −5.7 (−17.9; 6.4) | ||||||
Lack of cough | |||||||||||
Yes | ref | 0.03 | ref | 0.09 | ref | 0.14 | 0.19 | ref | <0.001 | ref | 0.08 |
No | −10.0 (−19.1; −9.0) | −25.0 (−53.6; 3.6) | −5.2 (−12.1; 1.7) | −23.6 (−23.7; −23.5) | −6.0 (−12.5; 0.6) | ||||||
Anterior cervical adenopathy | |||||||||||
No | ref | 0.07 | ref | 0.01 | ref | 0.88 | 0.01 | ref | 0.01 | ref | 0.37 |
Yes | 7.3 (−0.6; 15.2) | 36.1 (7.7; 64.5) | −0.4 (−6.1; 5.2) | 40.5 (16.7; 64.3) | 2.0 (−2.3; 6.2) | ||||||
Tonsillar swelling or exudate | |||||||||||
No | ref | 0.40 | ref | 0.12 | ref | 0.21 | 0.07 | n/ae | ref | 0.29 | |
Yes | 4.3 (−5.6; 14.3) | −25.0 (−56.2; 6.2) | 5.4 (−3.1; 13.9) | 4.0 (−3.4; 11.4) | |||||||
Fever | |||||||||||
No | ref | 0.61 | ref | 0.27 | ref | 0.77 | 0.26 | n/ae | ref | 0.41 | |
Yes | −2.3 (−10.8; 6.3) | −19.1 (−53.0; 14.8) | 1.0 (−5.6; 7.6) | 2.3 (−3.3; 8.0) |
Data RADT sensitivity difference (95% confidence interval) unless indicated.
Abbreviations: ref, reference; n/a, not applicable.
Binomial modelling.
Interaction test between clinical variables and inoculum size (Wald test).
Model adjusted on age, lack of cough, anterior cervical adenopathy.
Model adjusted on age, lack of cough, anterior cervical adenopathy, tonsillar swelling or exudate and fever.
Not included in the model because of non-convergence.